Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2021-06-30-23
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212496 DEA: 024E4504 EFIS: 0200020286 |
|---|---|
| DIST-CO-RTE-PM | 02-LAS,MOD-139,299-VAR |
| Award Date | 07/28/2020 |
| Closeout Date | 08/14/2023 |
| Work Description | PLACE HMA, REPLACE DRAINAGE, CULVERT, ELECTRICAL AND LIGHTING SYSTEMS. |
| Location Description | LASSEN AND MODOC COUNTIES ON ROUTE 139 AT 0.1 MILE NORTH OF LASSEN COUNTY LINE AND ON ROUTE 299 AT VARIOUS LOCATONS FROM 0.4 MILE WEST OF BOYD HILL LOOKOUT ROAD TO 0.6 MILE EAST OF COUNTY ROAD 87 |
| QA Service Level | 1 (Verified on 06/06/2017) |
Sample Information
| Sample Taken Date | 06/30/2021 | Sample Unique Key | 23 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 07/08/2021 |
| Sample type | Department Acceptance | A brief description of the sample | NO Test |
| The quantity of what the sample constitutes | 1 OF 2 cans | From where was the sample collected | Source |
| First name of sampler or witnessed by | E | Last name of sampler or witnessed by | Chavez |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Albina - Klamath Falls, OR | Transportation Laboratory (TL) Number | 854852 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 58-34 M |
|---|---|---|---|
| Modified | Yes | Lot number | |
| Sublot number | Tank number | ||
| Time of sample | HMA Supplier | ||
| Certified Asphalt Supplier | Albina Asphalt - Klamath Falls Plant - Klamath Falls OR | Multigrade | No |
| Multigrade Type | Asphalt Binder Mix Number | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||